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Search › Oregon › 171100000X

Michael Leake, LAC

NPI 1760769525 · on the registry since 2011 · sole proprietor

Practice

Address
3615 Ne Grand Ave
Portland, OR 97212
Phone
(503) 208-5460
Organisation at this address
Kim Knight, Macom, Lac
Owls Nest North Therapy Joint
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
171100000X
171100000X
Sex
Male
Record last updated
2011-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon